Fabia Cruz, Diana Brites, Sara Sintra, Maria Eugénia André
{"title":"Tuberculous meningomyelitis: Report of a case","authors":"Fabia Cruz, Diana Brites, Sara Sintra, Maria Eugénia André","doi":"10.5348/101365z01fc2022ci","DOIUrl":"https://doi.org/10.5348/101365z01fc2022ci","url":null,"abstract":"<jats:p>\u0000\t\t\t\t \t No Abstract\u0000\t\t\t \t</jats:p>","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85422677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. M. de Lima Morais, D. Kitakawa, Felipe da Silva Peralta, Sabrina Gonzales, L. F. D. Chagas e Silva de Carvalho
{"title":"Secondary syphilis in oral cavity: Case report and literature review","authors":"T. M. de Lima Morais, D. Kitakawa, Felipe da Silva Peralta, Sabrina Gonzales, L. F. D. Chagas e Silva de Carvalho","doi":"10.5348/101366z01tm2022cr","DOIUrl":"https://doi.org/10.5348/101366z01tm2022cr","url":null,"abstract":"\u0000 Introduction: Syphilis is the most common sexually transmitted infection and may have heterogeneous clinical features. There are several studies that report the incidence and clinical features of secondary syphilis, but little emphasis is placed on unusual clinical patterns. Here, we report a case of secondary intraoral syphilis with the appearance of whitish plaques.\u0000\u0000 Case Report: A 30-year-old woman complained of multiple plaques in the oral cavity that had not healed for 15 days. An incisional biopsy was performed and revealed histological features consistent with syphilis. Serological test of venereal disease research laboratory (VDRL) and fluorescent treponemal antibody absorption (FTA-ABS) were reactive. Diagnosis of secondary syphilis was closed. The patient underwent penicillin therapy.\u0000\u0000 Conclusion: In conclusion, secondary syphilis can become a potential diagnostic challenge due to the distinct clinical spectrum.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88516716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Laura Almeida Barreto, Estevam Rubens Utumi, D. Kitakawa, Felipe da Silva Peralta, T. M. de Lima Morais, L. F. D. Chagas e Silva de Carvalho
{"title":"Calcifying odontogenic cyst causing an atypical complication: Case report","authors":"Anna Laura Almeida Barreto, Estevam Rubens Utumi, D. Kitakawa, Felipe da Silva Peralta, T. M. de Lima Morais, L. F. D. Chagas e Silva de Carvalho","doi":"10.5348/101368z01ab2022cr","DOIUrl":"https://doi.org/10.5348/101368z01ab2022cr","url":null,"abstract":"\u0000 Introduction: Calcifying odontogenic cyst (COC) is a benign cystic type of odontogenic tumor, without neoplastic character and unusual in nature. Its development is slow and asymptomatic, being characterized by a mass that affects the maxilla and mandible.\u0000\u0000 Case Report: A 40-year-old male presented with mild extra and intraoral facial swelling in the region of the right upper incisors, without symptoms. On intraoral examination, he observed intact and normal colored buccal mucosa. Radiographic examination showed a radiolucent lesion between teeth 11 and 12. Excisional biopsy was performed. The histological diagnosis was calcifying odontogenic cyst.\u0000\u0000 Conclusion: Calcifying cyst is an uncommon odontogenic cyst that most often occurs in the maxilla. However, it should be in the differential diagnosis of other odontogenic lesions. In addition, after conservative surgical removal, long-term follow-up is recommended. Because, although rare, recurrence can occur.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81728958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Orsini, A. M. da Silva Catharino, Valéria Camargo Silveira, Carlos Henrique Melo Reis, Marcos Rg De Freitas, Acary Souza Bulle de Oliveira
{"title":"Can immunization against SARS-CoV-2 be the triggering factor for seizures?","authors":"M. Orsini, A. M. da Silva Catharino, Valéria Camargo Silveira, Carlos Henrique Melo Reis, Marcos Rg De Freitas, Acary Souza Bulle de Oliveira","doi":"10.5348/101364z01mo2022cr","DOIUrl":"https://doi.org/10.5348/101364z01mo2022cr","url":null,"abstract":"\u0000 Introduction: Neurotropic and neuroinvasive tropism of coronaviruses have been described in humans. Neurological disorders reported in the current literature in patients with coronavirus infection include: febrile seizures, fatigue, cognitive impairment, asthenia, hyposmia, ageusia, seizures, loss of consciousness, encephalomyelitis and encephalitis, Guilain-Barré syndrome, optic neuritis, peripheral neuropathies, among others. In contrast, reports of epileptic seizures after immunization against SARS-CoV-2 are interrogated.\u0000\u0000 Case Report: We report the case of a 12-year-old student, healthy, without comorbidities, who, 22 hours after the second dose of an immunization against SARS-CoV-2, started the first seizure.\u0000\u0000 Conclusion: The time interval between vaccination and the outbreak of crises, we believe, should be taken into account in the present case; mainly because she was a healthy teenager, with no recent previous factors that could serve as triggers.","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79347218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Sousa, Duarte Gil Alves, W. Schmitt, R. Ribeiro
{"title":"Sigmoid diverticulitis in a patient with situs inversus totalis","authors":"J. Sousa, Duarte Gil Alves, W. Schmitt, R. Ribeiro","doi":"10.5348/101363z01js2022ci","DOIUrl":"https://doi.org/10.5348/101363z01js2022ci","url":null,"abstract":"<jats:p>\u0000\t\t\t\t \t No Abstract\u0000\t\t\t \t</jats:p>","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86710026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recurrent bacterial meningitis with cerebrospinal fluid rhinorrhea","authors":"Than Than Aye, Aye Aye Sann, Hpone Pyae Tun","doi":"10.5348/101362z01ta2022cr","DOIUrl":"https://doi.org/10.5348/101362z01ta2022cr","url":null,"abstract":"\u0000 Introduction: Recurrent bacterial meningitis is a rare clinical phenomenon, but a telltale sign of a mysterious foe. It is an occurrence of two or more episodes of bacterial meningitis by different organisms, or with the same organism and the episodes separated by an interval of at least three weeks.\u0000\u0000 Case Report: We present a case of a 29-year-old gentleman who presented with acute pyogenic meningitis due to Streptococcus pneumoniae. This is the second episode of confirmed bacterial meningitis in two years with another episode of meningitis ten years ago, which was treated as tuberculous. History of rhinorrhea was elicited on direct questioning and cerebrospinal fluid leak through cribriform plate was confirmed on magnetic resonance imaging. The current episode of meningitis was successfully treated with intravenous high dose cephalosporin and short course dexamethasone. The patient was referred to a neurosurgeon for closure of cerebrospinal fluid leak.\u0000\u0000 Conclusion: This case highlights the importance of a thorough clinical history and awareness of a seemingly unimportant symptom which can be an important diagnostic clue.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82374867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shreyaska Dahal, M. Soufi, Sayali Kulkarni, Jamshed Zuberi
{"title":"Paroxysmal nocturnal hemoglobinuria with sagittal vein thrombosis as the initial presentation","authors":"Shreyaska Dahal, M. Soufi, Sayali Kulkarni, Jamshed Zuberi","doi":"10.5348/101361z01sd2022cr","DOIUrl":"https://doi.org/10.5348/101361z01sd2022cr","url":null,"abstract":"\u0000 Introduction: Paroxysmal nocturnal hemoglobinuria is a rare disease that presents with a variety of symptoms including hematuria, thrombosis, and other non-specific symptoms. Venous thrombosis is not uncommon in paroxysmal nocturnal hemoglobinuria (PNH). However, a thromboembolic event as the presenting symptom of PNH is rare and can be life-threatening, when affects the sagittal veins in the brain.\u0000\u0000 Case Report: A 28-year-old female presented to the facility with left-sided hemiparesis. Initial workup revealed a right-sided subacute hemorrhagic infarct of the parietal lobe, and magnetic resonance imaging (MRI) venography demonstrated extensive venous thrombosis involving the sagittal, straight, and transverse sinuses, with secondary edema in the involved hemisphere. Thrombotic events may affect up to 50% of PNH patients and account for at least one-third of mortality in PNH. Although disease presentation in PNH is variable, cerebral venous sinus thrombosis as the first thrombotic event in disease presentation along with the absence of hematuria makes this case unique. High suspicion of thrombosis and a differential diagnosis of PNH should be considered in young patients presenting with these symptoms, even in the absence of hematuria. Ravulizumab has significantly reduced thrombotic events, and these therapies should be immediately commenced upon high suspicion of thrombosis. Allogeneic hematopoietic stem cell transplantation offers the only curative approach for PNH to date.\u0000\u0000 Conclusion: Paroxysmal nocturnal hemoglobinuria is a very rare and life-threatening disease. Hematuria is not always present in this disease. Complement inhibitor therapy should be started immediately upon confirmation of the diagnosis to decrease future thrombotic events. Paroxysmal nocturnal hemoglobinuria patients may need allogeneic hematopoietic stem cell transplantation, which is the only curative approach available today.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91269395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical case series: Botulinum toxin and the reversible correction of gingival smile","authors":"Júlia Rocha Mayhe, Marília Fagury Videira Marceliano-Alves, Larissa Maria Assad Cavalcante, Eduardo Fagury Videira Marceliano, Thais Machado de Carvalho Coutinho, Wania Cristina Figueiredo Dantas, Adalgiza Mafra Moreno, Leila Cristina dos Santos Mourão","doi":"10.5348/101359z01jm2022cs","DOIUrl":"https://doi.org/10.5348/101359z01jm2022cs","url":null,"abstract":"\u0000 The aim of this study was to evaluate the effect of applying botulinum toxin type A (BTX-A) as a therapeutic alternative for the treatment of gingival smile. Four selected categories of female gender, aged 28–38 years, with gingival smile exposure between 4 and 9 mm, were selected. The evaluation was carried out 15 and 30 days after the initial application. All participants responded to a structured scored interview of initial and final satisfaction. All patients related satisfaction with the final gingival exposure, providing an improvement of their self-esteem. The gingival smile can be treated with botulinum toxin type A as an adjunct to treatments that involve ortho-surgical facial rehabilitation. Although the result is completely reversed after a complete elimination of the product, it can improve the patient’s self-esteem. More clinical trials are important to confirm the results\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89740981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resolution of chronic secondary rhinosinusitis of odontogenic origin after endodontic treatment: A case report","authors":"Amanda Assumpção Marques, Marília Fagury Videira Marceliano-Alves, Fábio Vidal Marques, Vivian Ronquete, Carlos Henrique Sardenberg Pereira, Thais Machado de Carvalho Coutinho","doi":"10.5348/101358z01am2022cr","DOIUrl":"https://doi.org/10.5348/101358z01am2022cr","url":null,"abstract":"\u0000 Introduction: A case of successful resolution of odontogenic rhinosinusitis after endodontic treatment is presented.\u0000\u0000 Case Report: The patient previously diagnosed with rhinosinusitis presented with an active parulid between the 25 and 26 teeth. The sinus tract-tracing indicated 26 tooth as the source and periapical radiography showed a chronic apical periodontitis lesion. A cone beam computed tomography (CBCT) demonstrated hyperdense imaging on the floor of the left maxillary sinus of posterior teeth region, and rupture of the cortical bone of sinus floor and thickening of its membrane. The odontogenic localized secondary rhinosinusitis was diagnosed. Conventional endodontic treatment was performed with intracanal medication. Nine months later, the patient returned without symptoms and the new CBCT showed no periradicular lesion, corticalization of the maxillary sinus floor, and no sinus disease.\u0000\u0000 Conclusion: The dental resolution of presented case showed that patients with unsuccessful previous treatment for rhinosinusitis may suffer from endodontic diseases, which may fail without the dentist’s approach. The presented case showed that the implemented treatment protocol was effective to improve the patient’s health, as well shows the necessity of proper approach to achieve success.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81778203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. M. Gonzalez-Santiago, Ricardo Fernández-González, Modesto González-Del Rosario, Radamés Sierra-Zorita, Carlos D Garcia
{"title":"Interstitial lung disease in a patient with premature aging: Suspected Werner syndrome","authors":"G. M. Gonzalez-Santiago, Ricardo Fernández-González, Modesto González-Del Rosario, Radamés Sierra-Zorita, Carlos D Garcia","doi":"10.5348/101355z01gg2022cr","DOIUrl":"https://doi.org/10.5348/101355z01gg2022cr","url":null,"abstract":"\u0000 Werner syndrome (WS) is a rare inherited autosomal recessive disease that can be diagnosed with cardinal signs without the genetic testing. Some features that are consistent with WS include premature aging, loss, and graying hair, scleroderma-like skin changes. We report a 42-year-old man with cardinal signs of WS who also developed interstitial lung disease (ILD). The patient had past medical history (PMHx) of atypical left femur fracture in his early 30s from unknown causes. Also, he had loss and graying hair, salt-on-pepper skin changes, associated with squeaky voice, muscle wasting, and osteoporosis. He had worsening symptoms of dyspnea on exertion and was found with bilateral diffuse subpleural reticular opacities with slight mid- to lower-lung predominance and mild bronchiectasis without honeycombing or ground-glass airspace opacities on chest computed tomography (CT) scan. Other causes of ILD were excluded as patient routine laboratories and rheumatologic workup was negative. Werner syndrome presents similar features with other telomerase-associated diseases such as mutations of telomerase complexes [telomerase RNA component (TERC) and telomerase reverse transcriptase (TERT)]. Werner syndrome can be difficult to diagnose because it is a rare genetic disease that begins to show symptoms and signs after 10 or 20-year-olds, but the diagnosis is recognized after 30s. Few cases have been reported about the association of WS and ILD, but both diseases are aging diseases. This case might be the first case reported in Puerto Rico of Werner syndrome associated with ILD. Early referral and treatment is important to improve patients’ quality of life and life expectancy by slowing the progression of the disease.\u0000","PeriodicalId":13833,"journal":{"name":"International Journal of Case Reports and Images","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88057339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}